The American Legion Department of Connecticut: Membership Application

Department of
Connecticut

On-Line Download Mail-In Form - Headquarters Post 200

2007 Membership Application   - Mail completed application to:

The American Legion
Department of Connecticut
Attn: Post 200 Membership
P.O. Box 208
Rocky Hill, CT 06067-0208

Please print and complete the appropriate entries:

First Name: _______________   Middle Initial: _____
Last Name:_______________________________

Mailing Address:_____________________________________________________________

City: _____________________________________State: __________Zip: ______________

Home Phone: (____)___________________Cell Phone: (____)______________________

Email Address:____________________________

My enclosed annual dues of $28.00 are paid by:

        Personal Check     Money Order     Bank Check



Eligibility Dates:
   August 2, 1990 - Open Persian Gulf War
   Dec. 20, 1989 - Jan. 31, 1990 Panama
   Aug. 24, 1982 - Jul. 31, 1984 Grenada/Lebanon
   Feb. 28, 1961 - May 7, 1975 Vietnam War
   June 25, 1950 - Jan. 31, 1955 Korean War
   Dec. 7, 1941 - Dec. 31, 1946 World War II
   Apr. 6, 1917 - Nov. 11, 1918 World War I

Branch Of Service:
   U.S. Army
   U.S. Navy
   U.S. Air Force
   U.S. Marines
   U.S. Coast Guard

I certify that I have served at least one day of active military duty during the era marked above and was honorably discharged or am still serving honorably.

I would like to be assigned to an American Legion Post nearest my home.

Signature of Applicant___________________________________
Date:___________________

Last Updated: January 19, 2007